Form C
- A nurse is caring for a child during a tonic-clonic seizure. Which of the
following actions should the nurse take? ( select all that apply)
A. Clear the area of hard objects.
B. Firmly hold the child’s arms to one side.
C. Place a pillow under the child’s head.
D. Insert a tongue blade into the child’s mouth.
E. Loosen tight clothing around the child’s neck
2.A nurse is preparing to perform a venipuncture to collect a blood sample
from an infant. Which of the following restraints should the nurse plan to use for
this procedure?
A. Elbow
B. Mitten
C. Jacket
D. Mummy
3.A nurse is teaching a parent of a preschool-age child about management of
sleep terrors. Which of the following instructions should the nurse include?
A. Take the child to the parent’s bed to resume sleep.
B. Allow the child to fall asleep with the television on.
C. Remain uninvolved until the child awakens
D. Schedule professional counseling for the child
4.A nurse is assessing a toddler who is 8 hr postoperative following a cardiac
catheterization procedure. Which of the following findings should the nurse
report to the provider?
A. Weak pedal pulse distal to the site.
B. Bilateral cool extremities
C. Serum glucose 90 mg/DL
D. Blood pressure 102/58 mm Hg
5.A nurse is assessing a preschool-age child who is in the immediate
postoperative period following a tonsillectomy. Which of the following
assessment findings in the priority?
A. The child swallows frequently
B. The child refuses clear liquids
C. The child’s throat pain increases
D. The child cries often
6.A nurse is planning care for an 8 month-old infant who has bronchitis. Which of
the following actions the nurse include in the plan of care?
A. Use a bulb syringe to suction the nares.
B. Place the infant in a room with negative-pressure airflow.
C. Administer a meningococcal vaccine upon admission
D. Initiate IV antibiotic therapy. - **A nurse is preparing a parent’s’ education class about nutrition for
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toddlers. The nurse should identify which of the following findings as an
indication of protein deficiency?
A. Dry, thinning hair
B. Muscle twitching
C. Dental caries
D. Poor skin turgor